Individual provider Active NPI

David Mitchell, DPT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1790510147
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21297 Issued in CO
Practice address
14000 E Arapahoe Rd Ste 110
Centennial, CO 80112-4044
Phone
(720) 497-6110
Fax
(720) 497-6739
NPI assigned
Sep 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21297 CO Primary
Physical Therapist 225100000X 40QA02287400 NJ

Addresses

Primary practice location

14000 E Arapahoe Rd Ste 110
Centennial, CO 80112-4044

Mailing address

14000 E Arapahoe Rd Ste 110
Centennial, CO 80112-4044
Phone (720) 497-6110

Other practice location 1

700 Haddonfield Berlin Rd Ste 8&9
Voorhees, NJ 08043-4305
Phone (856) 619-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241011000319 NJ Practitioner - Physical Therapist in Private Practice 2668904962 Reassigns benefits to 1 organization
I20260617001547 CO Practitioner - Physical Therapist in Private Practice 2668904962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

14000 E Arapahoe Rd
110 Panorama Physical Therapy
Centennial, CO 80112-4044
Phone (720) 497-6110

700 Haddonfield Berlin Rd
Suite 8And9
Voorhees, NJ 08043-4305
Phone (856) 619-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21297COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 4, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 4, 2024 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

700 Haddonfield Berlin Rd
Ste 89
Voorhees, NJ 08043
Phone (856) 619-8558

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790510147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124044",
            "telephone_number": "720-497-6110",
            "fax_number": "720-497-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124044",
            "telephone_number": "720-497-6110",
            "fax_number": "720-497-6739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Haddonfield Berlin Rd Ste 8&9",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434305",
            "country_code": "US",
            "telephone_number": "856-619-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "21297",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02287400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.